Swiss pharmaceutical companies Novartis and Roche were fined a combined $250 million for drug collusion in March, but if Italy’s health ministry has its way, the actual price will be much, much higher.

Hundreds of passengers who were onboard the ill-fated Costa Concordia, as well as thousands of businesses located on the Italian island where the cruise ship capsized in January, have filed U.S. lawsuits against Carnival Corp. for millions of dollars in damages.